Provider Demographics
NPI:1033357256
Name:ZUCKER, HADASSAH (MS SLP/CCC)
Entity Type:Individual
Prefix:MS
First Name:HADASSAH
Middle Name:
Last Name:ZUCKER
Suffix:
Gender:F
Credentials:MS SLP/CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 DEERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1002
Mailing Address - Country:US
Mailing Address - Phone:845-364-9795
Mailing Address - Fax:
Practice Address - Street 1:3 DEERWOOD RD
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1002
Practice Address - Country:US
Practice Address - Phone:845-364-9795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010141-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist